Healthcare Provider Details

I. General information

NPI: 1730579459
Provider Name (Legal Business Name): NILSA COMPTON L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/02/2015
Last Update Date: 03/29/2026
Certification Date: 03/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8885 CENTRE PARK DR STE 2F
COLUMBIA MD
21045-2199
US

IV. Provider business mailing address

8885 CENTRE PARK DR STE 2F
COLUMBIA MD
21045-2199
US

V. Phone/Fax

Practice location:
  • Phone: 301-806-6580
  • Fax:
Mailing address:
  • Phone: 301-806-6580
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberUO3255
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: